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Here is how the G7 governments must deal with Gilead:
Compulsory licensing of pharmaceuticals and TRIPS
Here are some extracts from https://www.wto.org/english/tratop_e/trips_e/public_health_faq_e.htm (the underlines are mine)
What is compulsory licensing?
Compulsory licensing is when a government allows someone else to produce the patented product or process without the consent of the patent owner. It is one of the flexibilities on patent protection included in the WTO’s agreement on intellectual property — the TRIPS (Trade-Related Aspects of Intellectual Property Rights) Agreement.
Does there have to be an emergency?
Not necessarily. This is a common misunderstanding. The TRIPS Agreement does not specifically list the reasons that might be used to justify compulsory licensing. However, the Doha Declaration on TRIPS and Public Health confirms that countries are free to determine the grounds for granting compulsory licences.
The TRIPS Agreement does list a number of conditions for issuing compulsory licences, in Article 31. In particular:
* normally the person or company applying for a licence has to have tried to negotiate a voluntary licence with the patent holder on reasonable commercial terms. Only if that fails can a compulsory licence be issued, and
* even when a compulsory licence has been issued, the patent owner has to receive payment; the TRIPS Agreement says “the right holder shall be paid adequate remuneration in the circumstances of each case, taking into account the economic value of the authorization”, but it does not define “adequate remuneration” or “economic value”.
You said “normally” …
Yes, this is where the confusion about emergencies arises. For “national emergencies”, “other circumstances of extreme urgency” or “public non-commercial use” (or “government use”) or anti-competitive practices, there is no need to try first for a voluntary licence. It’s the only instance when the TRIPS Agreement specifically links emergencies to compulsory licensing: the purpose is to say that the first step of negotiating a voluntary licence can be bypassed in order to save time. But the patent owner still has to be paid.
Who decides whether the payment is “adequate”?
The authorities in the country concerned. The TRIPS Agreement says the patent owner must be given the right to appeal in that country as well.
The Doha Declaration
(extracts from: https://www.wto.org/english/tratop_e/trips_e/healthdeclexpln_e.htm)
The special declaration responds to these concerns in a number of ways.
First, it emphasizes that the TRIPS Agreement does not and should not prevent WTO members governments from taking measures to protect public health. It reaffirms the members’ rights to use fully the provisions of the TRIPS Agreement, which provide flexibility for this purpose.
Second, the declaration makes it clear that the TRIPS Agreement should be interpreted and implemented in a manner that supports WTO members’ right to protect public health and, in particular, to promote access to medicines for all.
Third, the declaration contains a number of important clarifications of some of the flexibilities contained in the TRIPS Agreement. It does this while maintaining members’ commitments under the TRIPS Agreement.
On compulsory licensing, the declaration makes it clear that each member is free to determine the grounds upon which the licences are granted. This, for example, is a useful corrective to the view sometimes expressed that some form of emergency is a pre condition for compulsory licensing.
The TRIPS Agreement does refer to national emergencies or other circumstances of extreme urgency in connection with compulsory licensing. But this is only to indicate that in these circumstances there is no need to try to obtain a voluntary licence before resorting to compulsory licensing.
The declaration makes it clear that each member has the right to determine what constitutes a national emergency or other circumstance of extreme urgency , and that public health crises can fit the bill, including HIV/AIDS, tuberculosis, malaria and other epidemics.
The declaration also refers to the “exhaustion” of intellectual property rights, and therefore a member’s right to allow parallel imports (for an explanation see fact sheet.
The TRIPS Agreement says that a member government’s practices in this area cannot be challenged under the WTO dispute settlement system.
The declaration makes it clear that the TRIPS Agreement’s provisions on exhaustion in effect leave each member free to establish its own regime without challenge — subject to the general TRIPS provisions prohibiting discrimination on the basis of a person’s nationality.
——————————–
So the TRIPS agreement leaves lot’s of flexibility for member governments to deal with medical crises.
What makes Compulsory Licensing a legal power that western governments are so afraid to use, even when thousands of their citizens are dying from one of the world’s most deadly diseases?
(and before anyone objects that technically hepatitis C is not an epidemic, it goes without saying that it is a pandemic, which is worse)
——————————–
But let’s also not forget that Gilead’s tiered pricing and nation-based market segmentation practices (see the clauses in Gilead’s “Voluntary Licence” that relate to “territories” are clearly discriminatory to different nationalities.
http://www.gilead.com/~/media/files/pdfs/other/2014_original_hcv_licensing_agreement.pdf?la=en
In other words, the American company called “Gilead” is violating TRIPS left, right and centre!
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).According to this article:
Pharma 5 now has enough Sofosbuvir to supply the entire country of Morocco for one year. According to Pharma 5 (in French)
http://www.pharma5.ma/ssb-400/
the Moroccan Health Minister asked Gilead to include Morocco in the list of countries that Gilead would allow its Indian licensee companies to export to, but he got no reply. So the Health Minister authorised local production…
The cost is 3000 Dirhams per box (about $300 US) and Pharma 5 are now looking to supply much of Africa:
http://www.pharma5.ma/en/international-2/
Dear G7 Leaders, please take note!
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).G7 working group on Global Health and Human Security sets “universal health coverage” (UHC) as a global priority:
http://jcie.or.jp/cross/globalhealth/2016ghwg.html
François Hollande writes editorial letter (01 May 2016) in The Lancet (how many other presidents ever did that?)
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2816%2930393-2/abstract
More Lancet articles on France and world health (some require login/registration):
http://www.thelancet.com/series/france-nation-and-world
Vive la France!
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).Hi Gaj, yes it looks promising.
Let’s hope the G7 leaders will force Gilead to abolish their evil market segmentation and tiered pricing.
Q. What’s the difference between someone infected with HCV in India and someone in France?
A. One speaks Hindi and the other speaks French. Period.
One person, one treatment, one honest price.
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).Another reason for the fall in share prices could be investor fears of pending class actions:
https://www.chimicles.com/gilead-sovaldi-lawsuit
https://www.schmidtandclark.com/sovaldi-lawsuit
http://www.law360.com/articles/603544/pa-transit-agency-slaps-gilead-with-price-gouging-suit
(see also https://www.chimicles.com/wp-content/uploads/2014/09/Gilead-FAC.pdf)
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).I also contacted Beker a couple of days ago using the business address given here:
http://www.made-in-tunisia.net/vitrine/contact.php?tc1=lK2TlaWY
Here is the reply:
Subject: Re: About http://www.bekerhepc.com?
Date: Sat, 21 May 2016 00:06:16 +0100
From: Laboratoires Beker
To: ####### <######@######.###>, sales.int@bekerlaboratoires.comDear Vororo,
Thank you for your email. Indeed bekerhepc.com is our website dedicated to our hepatitis C range.
We are hereby redirecting you to the department in charge of managing the website and order.
They will take care of answering your queries
All the best
Beker laboratories
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).Hmmm, seems like a “WikiGnome” (https://en.wikipedia.org/wiki/Wikipedia:WikiGnome) has tidied up my edits to https://en.wikipedia.org/wiki/Buyers_club (a direct external link to http://www.fixhepc.com is not allowed).
Like GreedFighter says, there going to be a learning curve on how to present the facts in an acceptable (mainly neutral way) there.
But at least “FixHepC” is now into the matrix …
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).Following Jame’s advice on starting by making small updates to existing wiki pages, here’s a start!
https://en.wikipedia.org/wiki/Buyers_club
I am an absolute newbie on wikipedia but if anyone wants to collaborate on making a top level Wiki page for FixHepC, please PM me.
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).Hey Mike, … There is no doubting it! You are a Highlander after all! All that Mel-Gibson stuff with tartan broad-swords and battle-axes is just Hollywood BS. The real highlanders fought with scythes and pitchforks!
Me and The Lads are right behind you! Let the battle commence!
https://www.youtube.com/watch?v=Tv5pOjtQoFU
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).13 May 2016 at 9:48 pm in reply to: India Patent Office approves Gilead’s hepatitis C drug patent #17136Thank you for this analysis Gaj,
I agree, for the people of India, probably not much difference. For the rest of the world, I fear a lot depends on how Gilead might now play it with their (no doubt new) licences with India manufacturers. They can write potentially anything they like, and probably it will not be doing the world any favours…
For those who are interested, here is a link to the text of the latest patent decision:
http://freepdfhosting.com/a03fe3f626.pdf
No doubt there will be appeals by MSF and I-MAK…
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).”hazelriannon” wrote:I rattle every cage I can think of but in terms of getting the message out, right now locally we are concentrating on getting doctors to listen: because they have the medical records, they could contact patients whereas I can only reach people through media, when I can get it. This is something we could all do- contact medical centres. Letters, emails, talks: remember globally that medical professionals and their various organisations – (also worth a letter, must get on to that) are at the forefront of opposition against TPPA because they know what an enormous effect it will have on medication prices.
Great post Hazel!
The message that generics work and are available on-line is getting out. Even the UK Hepatitis C Trust (and that’s “C” for Conservative) now gives advice on accessing generics (mentions FixHepC):
http://hepctrust.org.uk/buying-hepatitis-c-drugs-online-%E2%80%93-what-you-need-know
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).mgalbrai wrote:Hey Wullie,
I think one of your ancestors hanged one of mine up around Loch Lomond a couple of hundred years back. Something about a woman and some sheep…..or was that the cards and whiskey one….Hey, Mike, sorry to hear about that. But everyone knows that being seen wearing the wrong tartan underwear could cause all manner of misunderstanding back in those days… especially where sheep are concerned!
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).”James-Freeman-facebook” wrote:Please compare the nice image on the harvonipriceinindia.com web site
…
with the family snaps on this page:
Vororo, I think we will have to rename you Sherlock Holmes!
Thank you James, but with google reverse image search – its “elementary, Dr Watson”.
In the old days, it was “buyer beware”. Nowadays, it should be “buyer be curious” – here are a couple of tools that everyone should use if they have any doubt about buying something on line:
https://support.google.com/websearch/answer/1325808?hl=en
There are also so-called scam adviser web sites (for example, http://www.scamadviser.com/), but these have been criticised for giving false reports on new businesses and they bombard you with advertising.
In short, trust nobody, especially if they do not have a verifiable postal address…
Yours,
Oor Wullie
10 Glebe Street
Auchenshoogle
Bonnie Scotland
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).Please compare the nice image on the harvonipriceinindia.com web site
with the family snaps on this page:
http://patricksindiaadventure.blogspot.fr/2011/07/birthdays-in-golden-triangle.html
My advice would be to stick to the verified suppliers on http://fixhepc.com/forum/daa-access.html !!!
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3).Hi Ariel,
Thank you for your news! That’s absolutely amazing! It seems like a lot of us have been staggering around for half our lives as if we had extra 50Kg on our backs, and then suddenly all that weight is thrown off and Good Things start happening…
(for me, as posted previously, mostly minor health improvements all over, but the total difference is quite astonishing)
Cheers,
Diagnosed Jan 2015: GT3, A0+F0/F1. Fatigue + Brain-Fog.
Started Sof+Dac from fixHepC 10-Nov-2015. NO sides.
Pre-Tx: AST 82, ALT 133, Viral Load 1 900 000.
Week4: AST 47, ALT 58. VL < 15 (unquantifiable). Week12 (EOT): AST 30, ALT 26, VL UND Week16 (EOT+4): AST 32, ALT 28, GGT 24, VL UND Week28 (EOT+16): AST 26, ALT 22, GGT 24, VL UND Ever grateful to Dr James. Relapsed somewhere after all that... Bummer! Jan 2018: VL 63 000 (still GT3). -
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